Risk Factors of Pancreatic Fistula in Distal Pancreatectomy Patients
Table 2
Patients’ demographics and operative details.
Variables
Mean with SD (%)
Age
41 ± 15 years
Gender
Male
53
Female
47
ASA level
I
2.6
II
65.7
III
26.3
IV
5.2
Body mass index
Underweight (<18.5)
2.6
Normal (18.5–24.9)
47.3
Overweight (25–29.9)
39.4
Obese (>30)
10.5
Signs and symptoms
Abdominal pain
57.9
Weight loss
23.7
Nausea and vomiting
18.4
Hypoglycemia
7.9
Incidental findings
7.9
Others
5.2
Duration of admission
11 ± 5 days
Histopathology
Neuroendocrine tumor (n = 10)
26.3
PEN (n = 6)
15.8
Serous cystadenoma (n = 6)
15.8
Malignant (n = 1)
2.6
Others (n = 15)
39.4
Mode of admission
Elective
89.5
Emergency
10.5
Imaging used for diagnosis
CT scan
92.1
MRCP
2.6
Both
5.2
Duration of surgery
213 ± 64 mins
Type of surgery
Spleen-preserving distal pancreatectomy (n = 3)
7.9
Distal pancreatectomy with splenectomy (n = 21)
55.3
Distal pancreatectomy with multivisceral excision (n = 14)
36.8
Closure
Hand-sewn (n = 7)
18.4
Stapled (n = 9)
23.7
Both (n = 22)
57.9
Include acute pancreatitis and chronic pancreatitis. Include blunt abdominal trauma with pancreatic laceration in the distal part, penetrating trauma, large bowel tumor invading the distal part of the pancreas, lymphoma, and leiomyosarcoma.
